Nurse Susan Is Reviewing the Isolation Prescription for Matthew
Exam (elaborations)
ATI Real Life RN Nursing Care of Children, Gastroenteritis and Aridity (Answered)
ATI Real Life RN Nursing Intendance of Children, Gastroenteritis and Dehydration (Answered) Scenario Nurse Susan is reviewing the isolation prescription for Matthew. Question Nurse Susan is reviewing the isolation prescription for Matthew. Which of the following types of isolation precautions should Susan implement? Selected Option Contact Rationale The nurse should use contact precautions for clients who have a known or predictable affliction that is transmitted through contact with gastrointestinal secretions or drainage from skin or wound infections. The client's condition warrants contact precautions until laboratory findings are available. Scenario Nurse Susan received a report from Nurse Mary. Page two of 7 Question Nurse Mary gave a report to Nurse Susan. Using the SBAR format, place the information from the report in the appropriate category. (Fill in the bare and click on the Submit push button when yous finish.) Selected Choice Due south= Matthew is a 4 year old male person patient, here with his mother, who was admitted for dehydration due to episodes of diarrhea. B= Matthew has had diarrhea for the past 2 days, and has had very little to eat or potable. He complains of abdominal pain, and rates information technology at a 3. Matthew is also toilet trained, but is currently in a diaper cursory due to the diarrhea. A= Matthews temperature is elevated, center rate is 120 bpm, and respirations are at thirty bpm. He currently rates his hurting at a 3/10. Bowel sounds are hyperactive, lung sounds are clear. R= The provider has put orders in the computer already for Matthew. Rationale >SBAR: S = Situation – A 4-year-ii-month-old male customer, with parent, admitted with dehydration B = Background – The client came to the dispensary this morning time after having diarrhea for 2 days. He has a poor appetite and has simply had sips of fluid for more than 1 day. He is crying and reports intestinal pain. He attends day intendance total time and is potty trained, but is wearing diaper briefs because of the diarrhea. A = Assessment – The client has an elevated T of 38.0° C, P of 120/min, and R 30/min. He has articulate lung sounds, no murmurs, and hyperactive bowel sounds. He is crying and has a pain level of 3 on the FACES calibration. R = Recommendations/Request – Admitting prescriptions for the hospital are in the computer. Optimal Decision Scenario Nurse Susan completes the admission cess of Matthew. Question Nurse Susan completes the access cess of Matthew. Which of the post-obit is the priority activity based on the cess? Selected Option Initiate Iv access. Rationale Rehydration is the main goal for a client who is dehydrated. Oral replacement is not an choice for the client considering of vomiting. Optimal Determination Scenario Nurse Susan is gathering supplies to insert an Iv catheter for a saline lock. Question Nurse Susan is gathering supplies to insert an Iv catheter for a saline lock. Which of the post-obit images includes the appropriate supplies? Selected Choice Right supplies Rationale This image includes the supplies the nurse needs to insert an Four catheter with a saline lock. Optimal Decision Scenario Nurse Susan calculates the rate of flow for the IV infusion.
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